| Dr. Michael R. Kilgore, Medical Group Pllc | |
|
5265 N 23rd St Suite A Mcallen TX 78504-4004 | |
| (956) 687-6196 | |
| (956) 687-9169 |
| Full Name | Dr. Michael R. Kilgore, Medical Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5265 N 23rd St, Mcallen, Texas |
| Authorized Official Name and Position | Michael Ray Kilgore (SOLE/PROPRIETOR) |
| Authorized Official Contact | 9566876196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Michael R. Kilgore, Medical Group Pllc 5265 N 23rd St Suite A Mcallen TX 78504-4004 Ph: (956) 687-6196 | Dr. Michael R. Kilgore, Medical Group Pllc 5265 N 23rd St Suite A Mcallen TX 78504-4004 Ph: (956) 687-6196 |
| NPI Number | 1902211212 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 06/25/2014 |
| Medicare PECOS PAC ID | 7517182272 |
|---|---|
| Medicare Enrollment ID | O20140714001177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902211212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H1123 (Texas) | Primary |
| Provider Name | Michael R Kilgore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902971690 PECOS PAC ID: 7012907454 Enrollment ID: I20140714001293 |
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